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Individual
MR. RICHARD HANSEN
Active
Individual
MR. RICHARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MS, ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/05/2007
Last updated
02/20/2014
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